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Contact Information

ROBERT A MONTGOMERY III, MD
1601 NW HAWTHORNE AVE
GRANTS PASS, OR97526
 Phone: 541-472-4884
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for ROBERT A MONTGOMERY III · (Male)

NPI Number 1528008562
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2006
Last updated 04/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 15475
  • OK License # 35038
  • OR License # MD18872
  • OR Medicaid 064626
  • OR Other 023807003 REGENCE BCBSO
Hospital affiliation(s)
  • NORTH SHORE MEDICAL CENTER - (Acute Care)
    1100 NW 95TH ST
    MIAMI, FL 33150
  • O U MEDICAL CENTER - (Acute Care)
    1200 EVERETT DRIVE
    OKLAHOMA CITY, OK 73104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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